| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,804 |
9,248 |
$672K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,332 |
2,874 |
$246K |
| S9083 |
Global fee urgent care centers |
1,360 |
1,136 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,217 |
1,749 |
$112K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,151 |
1,973 |
$52K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,151 |
3,162 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,090 |
1,557 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
324 |
235 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
842 |
547 |
$16K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
153 |
82 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,190 |
810 |
$6K |
| 99215 |
Prolong outpt/office vis |
43 |
40 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,509 |
868 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
36 |
32 |
$898.24 |
| 0012A |
|
41 |
32 |
$646.64 |
| 0011A |
|
50 |
40 |
$522.00 |
| 99051 |
|
44 |
27 |
$299.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
295 |
226 |
$166.76 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
149 |
112 |
$142.00 |
| 87807 |
|
18 |
12 |
$125.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
38 |
25 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
87 |
81 |
$0.00 |
| 91301 |
|
37 |
32 |
$0.00 |